identified by gene profiling
Sotos综合征患儿临床特征及基因变异分析

作者简介:郑洪雪,1985年生,硕士,主治医师,主要从事小儿内分泌疾病诊治研究。
通信作者:王秀敏,E-mail :。
Sotos 综合征患儿临床特征及基因变异分析郑洪雪1, 陈 瑶2, 殷丽萍1, 李 辛2, 丁 宇2, 李 娟2, 王秀敏2(1.常州市第一人民医院 苏州大学附属第三医院,江苏 常州 213000;2.上海交通大学医学院附属上海儿童医学中心内分泌代谢科,上海 200127)摘要:目的 分析1例误诊为性早熟的Sotos 综合征患儿的临床特征及基因变异特点。
方法 回顾性分析1例误诊为性早熟的Sotos 综合征患儿的临床资料及相关实验室检查结果。
结果 患儿临床表现为生长过快、发育落后、特殊面容(大头颅、前额突出、下颌窄、高腭弓)。
外院误诊为性早熟,给予醋酸曲普瑞林治疗15个月,生长速度未见减缓。
基因测序显示患儿核受体结合SET 域蛋白1(NSD 1)基因(NM_022455.4)存在“错义变异c.5854C>T (p.Arg1952Trp )(杂合)”,其父亲携带该位点变异(杂合)。
按照美国医学遗传学和基因组学学会(ACMG )变异分类标准,归类为“可能致病性变异”。
结论 该患儿确诊为Sotos 综合征,NSD 1基因突变是其致病原因。
Sotos 综合征以身高增长过快为主要表现,伴随骨龄显著提前,不能仅靠性激素激发试验结果与性早熟鉴别,临床应严格评估第二性征发育,避免误诊。
关键词:核受体结合SET 域蛋白1;Sotos 综合征;基因突变;误诊;性早熟Analysis of clinical features and genetic variation of Sotos syndrome ZHENG Hongxue 1,CHEN Yao 2,YIN Liping 2,LI Xin 1,DING Yu 1,LI Juan 1,WANG Xiumin 1.(1.The First People's Hospital of Changzhou ,The Third Affiliated Hospital of Soochow University ,Changzhou 213000,China ;2.Department of Endocrinology and Metabolism ,Shanghai Children's Medical Center ,Shanghai Jiao Tong University School of Medicine ,Shanghai 200127,China )Abstract :Objective To analyze clinical characteristics and genetic variation of a case of Sotos syndrome misdiagnosed as precocious puberty. Methods The clinical data and related laboratory test results from one child with Sotos syndrome misdiagnosed as precocious puberty were retrospectively analyzed . Results Clinical manifestations of the child presented overgrowth ,developmental delay ,and typical facial appearance (macrocephaly ,broad forehead ,pointed chin ,high palate ). The patient was misdiagnosed as precocious puberty in other hospital and treated with triptorelin acetate for 15 months ,but growth rate has not slowed down. Heterozygous missense variants in nuclear receptor-binding SET-domain-containing protein 1(NSD 1)gene was identified in proband by gene sequencing ,which was c.5854C>T (p.Arg1952Trp ). His father had the same heterozygous mutation. This mutation had been classified to likely pathogenic mutation by American College of Medical Genetics and Genomics (ACMG ) variation classification criteria. Conclusion The diagnosis of Sotos syndrome is confirmed in this child and NSD 1 gene mutation is the cause. Sotos syndrome is characterized by overgrowth and bone age advanced. The results of the provocation test cannot be distinguished from precocious puberty alone. The clinical development of secondary sexual characteristics should be strictly evaluated to avoid misdiagnosis.Key words :Nuclear receptor-binding SET-domain-containing protein 1;Sotos syndrome ;Gene mutation ;Misdiagnosis ;Precocious puberty文章编号:1673-8640(2021)02-0130-05 中图分类号:R446.1 文献标志码:A DOI :10.3969/j.issn.1673-8640.2021.02.003Sotos 综合征是一种常染色体显性遗传的过度生长性疾病,人群发病率约为1∶14 000[1],其诊断标准为特殊面容(额头突起、眼裂下斜、眼距过宽、下颌尖长、高腭弓、 双颞部毛发退化等)、过度生长(头围增大、身高增高,且大于正常同龄儿童的第97百分位数)、骨龄超前、发育迟缓(语言和学习障碍、短期记忆和抽象思维能力缺陷,可伴有不同程度的智力低下等);此外,还可有早期喂养困难、黄疸、肌张力低下、动作笨拙、协调性差及癫痫等非特异性表现[2]。
弥漫性大B细胞淋巴瘤bcl

弥漫性大B细胞淋巴瘤bcl蒋会勇,陈愉,张三泉,朱梅刚,赵彤【关键词】弥漫Correlation between bcl2/IgH gene rearrangement and GCB molecular subtype in diffuse large Bcell lymphoma【Abstract】AIM: To explore the correlation between bcl2/IgH gene rearrangement and germinal center Bcelllike (GCB) molecular subtype in diffuse large Bcell lymphoma (DLBCL). METHODS: Selfdesigned heminested PCR was used to detect bcl2/IgH gene rearrangement in 60 cases of DLBCL. Positive PCR products were cloned and sequenced. The tissue microarray of 60 specimens of DLBCL was prepared and the expressions of CD20, CD10, Bcl6 and MUM1 were investigated by immunohistochemical SP method. GCB and nongerminal center Bcelllike (nonGCB) were subclassified. RESULTS: Six of the 60 DLBCL were bcl2/IgH positive by conventional PCR method. Selfdesigned heminested PCR was used to amplify 6 positive cases again and bcl2/IgH gene was verified rearrangement in 5 cases by cloning and sequencing and 1 had the gene segment of BAC331191 of human chromosome 19. CD20 waspositive in the 60 DLBCL cases. Positive expression rates of CD10, Bcl6 and MUM1 were %, % and % respectively. 32 %) were GCB and 28 %) were nonGCB. Bcl2/IgH gene rearrangementpositive cases were all GCB subtypes, which were significantly correlated with the expression of CD10 (P= and not with Bcl6 and MUM1. CONCLUSION: Selfdesigned heminested PCR can improve the detection accuracy of bcl2/IgH gene rearrangement. Bcl2/IgH gene rearrangement detection helps the DLBCL determination of GCB subtypes.【Keywords】 lymphoma, Bcell, diffuse large;bcl2; gene rearrangement【摘要】目的: 探讨弥漫性大B细胞淋巴瘤(DLBCL)bcl2/IgH 基因重排与分子亚型生发中心样(GCB)的相关性. 方式:采纳自行设计的半巢式PCR对60例DLBCL的bcl2/IgH基因重排进行了检测,并对阳性产物进行克隆、测序. 同时采纳免疫组化SP法在组织微阵列上同步观测CD20,CD10,Bcl6,黑色素瘤相关抗原(突变体)1 (MUM1)的表达,进行GCB和非生发中心样(nonGCB)分子分类. 结果: 常常规法扩增bcl2/IgH,有6/60例DLBCL bcl2/IgH阳性;在6例阳性样本中,采纳本组设计的半巢式PCR扩增,经克隆及测序证明5例bcl2/IgH 基因重排阳性,1例为人类第19号染色体BAC 331191基因的片段. 60例DLBCL CD20表达全数阳性;CD10,Bcl6, MUM1的阳性表达率别离为%,%,%;GCB 32(%)例,nonGCB 28(%)例. bcl2/IgH基因重排阳性的病例均属GCB分子亚型, 且与CD10表达有显著性相关(P=),而与Bcl6及MUM1表达无相关性. 结论:利用本组设计的半巢式PCR 可提高bcl2/IgH基因重排检测的准确性. bcl2/IgH基因重排的检测可协助确信部份GCB分子亚型的DLBCL.【关键词】弥漫性大B细胞淋巴瘤; bcl2; 基因重排0引言弥漫性大B细胞淋巴瘤(diffuse large Bcell lymphoma, DLBCL)是最多见、高度恶性的非霍奇金淋巴瘤,但新近cDNA芯片的研究结果显示,该瘤存在生发中心样(germinal center Bcelllike,GCB)和非生发中心样(non germinal center Bcelllike, nonGCB)两种分子亚型,GCB的预后明显好于nonGCB类型[1-2]. Hans等[3]以cDNA 芯片为参照标准,发觉利用“套餐”式免疫标记物CD10,Bcl6,黑色素瘤相关抗原(突变体)1 [melanoma associated antigen(mutated)1, MUM1]也能够对DLBCL进行分子分类. bcl2/IgH基因重排是人类恶性淋巴瘤最多见的染色体异样,存在bcl2基因重排的病例有较好的生存率. 咱们利用组织微阵列(tissue microarray, TMA)技术对60例DLBCL进行分子分类, 采纳PCR技术检测bcl2/IgH基因重排,探讨bcl2/IgH基因重排与分子亚型的相关性,旨在为临床判定DLBCL的预后提供更多的信息.1材料和方式1.1材料1999/2003年诊断明确资料齐全的DLBCL 60(男29,女31)例,中位年龄(16~91)岁,所有标本均为40 g/L中性甲醛固定, 常规石蜡切片HE染色. 由3名专门从事淋巴瘤研究的医师按新的WHO分类方式进行诊断. SP试剂盒购自北京中山生物技术; CD20购于福州Maxim公司;CD10购于美国Zymed公司;Bcl6购于美国Neomarker 公司; MUM1 mAb由意大利Perugia大学血液病研究所Dr. Falini馈赠.1.2方式1.IgH基因重排的检测DNA提取采纳我室成立的石蜡切片刮片法,每例切片1张,厚 3 μm,常规脱蜡、干燥. 用无菌刀片刮入Eppendorf管,加入50 μL消化液(10 mmol/L , 1 mmol/L EDTA, 200 mL/L Tween 20),同时加入蛋白酶K(终浓度为200 mg/L),56℃水浴孵育留宿,充分消化后,98℃, 10 min灭活蛋白酶K,12 000 g离心10 min,分装上清液,用分光光度计检测DNA的浓度,将浓度调整至200~400 μg/L,-20℃保留备用.1.2.2半巢式PCR检测bcl2/IgH基因重排bcl2/IgH 基因重排的检测采纳半巢式PCR. 第一次扩增PCR引物为:上游:MBR 5′TTAGAGAGTTGCTTTACGTGGCCTG3′; 下游JH1: 5′ACCTGAGGAGACGGTGACC3′. 该对引物为检测bcl2/IgH 基因重排经常使用引物[4]. 利用专业的引物设计软件Primer premier, 咱们在MBR下游设计了第二重引物: Mbr1 5′CAACACAGACCCACCCAGAG3′与原下游引物JH1组成半巢式PCR反映的第二对引物. 反映体系为:10×PCR 缓冲液2 μL, 25 mmol/L MgCl2 μL, 10 mmol/L dNTP μL,上下游引物各μL,Taq DNA聚合酶μL,模板1 μL(浓度200~500 mg/L),三蒸水μL,总反映体系为20 μL. 半巢式PCR的反映体系为10×PCR缓冲液2 μL, 25 mmol/L MgCl2 μL, 10 mmol/L dNTP μL,上下游引物各1 μL, Taq DNA聚合酶μL,模板1 μL,三蒸水μ℃变性5 min,94℃变性30 s,57℃退火45 s, 72℃延伸45 s, 共35个循环,然后,72℃终末延伸10 min,4℃保留30 min. 半巢式PCR 模板为一步法的产物稀释100倍. 产物以20 g/L琼脂糖凝胶电泳, 溴化乙锭(EB)μL染色. 所有PCR操作进程中严格按PCR操作规程进行. 阳性对照采纳经测序证明为基因重排阳性的DNA,阴性对照为双蒸水. PCR阳性产物经TA克隆连于T载体,送上海博亚公司进行测序. 测序采纳3730测序仪,DNA测序技术要紧依据Sanger双脱氧链终止法. 测序结果在基因库中进行比对,以明确是不是为 bcl2/IgH 基因重排片段.制作第一对60例DLBCL蜡块组织的苏木精-伊红染色切片作形态学观看,选择有代表性的肿瘤区域,在相应位置进行标记;然后利用组织微阵列仪(Beecher Instruments, MTA1)制作受体蜡块并打孔,依照原有切片的标记部位,用供体针在蜡块相应部位取样,所用组织芯直径为 mm,将供体组织芯放入受体蜡块. 每例标本在标记区域内随机取2~4条组织芯. 在组织样本填入蜡孔时记录每一个样本在二维阵列中的具体位置,并在必然位置上标记出TMA的方位.免疫组化染色采纳SP法进行免疫组化染色. 以CD20染色来判定每一个组织点的肿瘤细胞数,每例标本以肿瘤细胞数最多的点作分析. 抗体的阳性判定标准为:CD20,CD10阳性定位于细胞膜,Bcl6,MUM1阳性定位于细胞核, >20%的肿瘤细胞染色判为阳性[3]. 采纳CD10, Bcl6和MUM1 3种抗体对DLBCL进行分类[3]. CD10, Bcl6作为生发中心细胞的标志物,CD10+或CD10+/Bcl6+为GCB类;CD10-/Bcl6-为nonGCB类;MUM1作为后生发中心细胞来源的标志物,假设CD10-/Bcl6+,那么用MUM1来分类:MUM1+为nonGCB类,MUM1-为GCB类.统计学处置: 利用SPSS 软件,对数据进行Fisher精准查验. 2结果2.1组织学分型依照WHO新分类方式对DLBCL进行分型,中心母细胞型(centroblastic,CB) 53例%),免疫母细胞型(immunoblastic,IB)3例%),间变性大B细胞型(anaplastic,AP) 2例%),未分型2例%).2.2蛋白表达60例DLBCL患者的组织切片CD20表达全数阳性. CD10, Bcl6, MUM1的阳性表达率别离为%, %, %,其中CD10+ Bcl6+ 14例, CD10+/MUM1+ 13例,Bcl6+/MUM1+ 16例,CD10+/Bcl6+/MUM1+ 8例(图1). 经统计学分析,年龄性别等因素与CD20, CD10, Bcl6表达无关(表1).2.3DLBCL TMA分子分类60例DLBCL中, 32例(%)GCB,28例(%)nonGCB. 在32例GCB类中, 26例(%)CD10+,18例(%)Bcl6+,14例(%) CD10+/Bcl6+, 6例%) CD10-/Bcl6+. 在28例nonGCB类中,24例(%)MUM1+,8例(%) MUM1+/Bcl6+.A:细胞膜CD20+ ×100; B:细胞核Bcl6+ ×100; C: 细胞膜CD10+ ×200; D: 细胞核MUM1+ ×100.图1弥漫性大B细胞淋巴瘤免疫组化染色SP2.4基因重排检测因bcl2/IgH基因断裂在不同病例略有不同,因此扩增出的片段为100~300 bp(图2). 经一步法扩增,发觉6例阳性,对阳性样本进行半巢式PCR扩增时发觉5例基因重排阳性,考虑一步法扩增有假阳性,经克隆及测序证明为人类第19号染色体BAC331191基因的片段,其序列为: TTAGAGAGTTGCTTTACGTGGCCTGCCTCTCTCACCTCCCAGGTGAACGGTGTGGACATGAAGCTGCCCGTGGTGCTGGCCAACGGCCAGATCCGTGCCTCCCAGCATGGTTCAGATGTTGTGATTGAGACCGACTTCGGCCTGCGTGTGGCCTACGACCTTGTGTACTATGTGCGGGTCACCGTCTCCTCAGGT, 因此bcl2/IgH基因重排为5例. 基因重排阳性的5例病例均为GCB亚类. CD10阳性及阴性病例bcl2/IgH基因重排的发生率别离为%(5/26)及0%(0/34),有统计学不同(P=)(表1).表1弥漫性大B细胞淋巴瘤免疫组化与临床资料及bcl2/IgH基因重排关系(略)图2PCR检测bcl2/IgH重排3讨论本组60例DLBCL,CD10的阳性率高于西方Hans等[3]的28%和Colomo等[4]的21%, 可能与本组选用的病例多为CB变型的B细胞淋巴瘤有关. CD10诊断GCB的灵敏性较低,经CD10和Bcl6联合应用,在GCB类中发觉了6例CD10阴性、Bcl6阳性,说明联合应用CD10及Bcl6可提高GCB亚类的检出率. 本组检测MUM1阳性率与文献报导(50%~77%)相近[5-6]. 咱们利用传统引物进行bcl2/IgH基因重排检测发觉的阳性样本,采纳本组设计的半巢式PCR扩增及克隆、测序证明有1例为人类第19号染色体BAC 331191基因的片段,该片段的上下游别离有9个碱基能与传统引物互补配对,因此进行PCR时可能将其扩增出来,而非真正的基因重排. 这可能是传统引物检测重排发生假阳性的分子生物学基础. 结果显示采纳咱们所设计的半巢式PCR 引物检测bcl2/IgH基因重排可有效的幸免假阳性的发生. 在咱们的研究中,所有存在bcl2基因重排的病例均表达CD10,统计学资料说明二者存在相关性,因此通过对bcl2基因重排的检测可确信部份GCB 类的DLBCL. 这部份DLBCL与其它类型的DLBCL相较可能有不同的发病机制,属不同的疾病亚型[7-8]. 正确的检测方式对这种疾病的正确诊断有着重要意义,咱们利用的半巢式PCR提高了诊断重排的准确性.本研究在进行免疫组化进程中,咱们采纳了TMA技术,由于所有标本均在一张切片上进行免疫组化染色,人为误差少,一致性更强,有助于在同一水平进行观看分析和比较研究,因此本研究的免疫组织化学染色结果是靠得住的.【参考文献】[1] Rosenwald A, Wright G, Chan WC, et al. The use of molecular profiling to predict survival after chemotherapy for diffuse largeBcell lymphoma[J]. N Engl J Med,2002,346(25):1937-1947.[2] Shipp MA, Ross KN, Tamayo P, et al. Diffuse large Bcell lymphoma outcome prediction by geneexpression profiling and supervised machine learning [J]. Nat Med, 2002,8(1):68-74.[3]Hans CP, Weisenburger DD, Greiner TC, et al. Confirmation of the molecular classification of diffuse large Bcell lymphoma by immunohistochemistry using a tissue microarray [J]. Blood, 2004,103(1):275-282.[4] Colomo L, LopezGuillermo A, Perales M, et al. Clinical impact of the differentiation profile assessed by immunophenotyping in patients with diffuse large Bcell lymphoma [J]. Blood, 2003,101(1):78-84.[5]Tsuboi K, Iida S, Inagaki H, et al. MUM1/IRF4 expression as a frequent event in mature lymphoid malignancies [J]. Leukemia, 2000,14(3):449-456.[6] Natkunam Y, Warnke RA, Montgomery K, et al. Analysis of MUM1/IRF4 protein expression using tissue microarrays and immunohistochemistry [J]. Mod Pathol, 2001,14(7):686-694.[7] Alizadeh AA, Eisen MB, Davis RE, et al. Distinct types of diffuse large Bcell lymphoma identified by gene expression profiling [J]. Nature, 2000,403(6769):503-511.[8] Huang JZ, Sanger WG, Greiner TC, et al. The t(14,18)defines a unique subset of diffuse large Bcell lymphoma with a germinal center Bcell gene expression profile [J]. Blood, 2002,99(7):2285-2290.。
PIAS-1基因真核表达质粒的构建与鉴定

PIAS-1基因真核表达质粒的构建与鉴定秦会影;王海琳;刘钰;张培【摘要】Objective To construct interference vector of Plko.1 and PIAS-1.Methods Sequence of siRNA targeted by PIAS-1 was designed and was cloned into the expression vector pLKO. 1.The recombinants were identified by gene sequencing.Results PCR test and gene sequencing a-nalysis showed that the recombinant plasmid was constructed correctly.Conclusion Sequence of siR-NA targeted by PIAS-1 has been constructed successfully,and it provides stable transfection of RNA interference vector for the proliferation and apoptosis of PIAS-1 in cervical cancer.%目的:构建 PIAS-1 siRNA 干扰载体 Plko.1、PIAS-1。
方法设计以PIAS-1基因为靶标的 siRNA 序列,并克隆人载体 Plko.1,用基因测序进行重组克隆验证。
结果PCR 检测证实 siRNA 插入 Plko.1质粒,测序分析证实插入序列正确。
结论成功构建 PIAS-1基因的 siRNA 载体,为研究 PIAS-1基因对宫颈癌细胞增殖凋亡的影响提供了稳定转染的骨架载体。
【期刊名称】《实用临床医药杂志》【年(卷),期】2014(000)016【总页数】4页(P7-10)【关键词】宫颈癌;PIAS-1;质粒 pLKO.1;siRNA【作者】秦会影;王海琳;刘钰;张培【作者单位】兰州大学第一临床学院妇科,甘肃兰州,73000;甘肃省人民医院妇科,甘肃兰州,73000;;【正文语种】中文【中图分类】R73-3RNA干涉(RNAi)由美国科学家Andrew Fire和Craig Mello[1]于1998年正式提出,其原理为利用同源性的双链RNA(dsRNA)诱导序列特异性的目标基因的沉寂,迅速阻断基因活性。
三种常用的缺失值填充方法

三种常用的缺失值填充方法作者:刘爱鹏来源:《硅谷》2011年第23期摘要:介绍在遇到蛋白质数据链在同源建模中缺失数据需要填充的时候所使用的常用方法,其中包括线性的KNN、SKNN方法和非线性的SVD方法,以及他们相比较起来的优缺点。
关键词:缺失值;KNN;SKNN;SVD中图分类号:TP311.13 文献标识码:A 文章编号:1671-7597(2011)1210188-01在生物学发展中对蛋白质的研究越来越多,各种针对蛋白质的同源建模的结构数据的实验研究也越来越多,可是在我们使用同源建模的方法的时候,由于蛋白质演化或变异的时候将会出现缺失值的情况。
例如经过PCA处理降维处理过的蛋白质链可以分为严格保守部分和非保守部分,严格保守部分基本不缺值,大概占60%左右,而非保守部分则会含有缺失值,当我们填补缺失值后将能够把可以利用的蛋白质数据链的百分比提高到80%左右,所以缺失值的填充问题很重要。
针对生物数据缺失值的填充问题的处理上要与一般的统计方法处理数据的形式不同,需要利用数据之间的关系来准确的,合理的填充缺失值。
近年来,在处理这个问题上出现了一些填充缺失值比较准确地方法,如K个最近邻的缺失值填充法(KNN)、有序的K个最近邻填充法(SKNN)和奇异值分解法(SVD)。
在这里,我分别的简单介绍下这三种方法。
1 KNN算法基于K个最近邻的缺失值填充算法其实是在考虑了生物蛋白质表达数据之间的相关性,因而预测结果较为准确。
通过选定需要多少个最近邻的蛋白质数据链,根据这些个近邻蛋白质链提供的信息,对缺失数据的目标蛋白质链的缺失值进行预测和估计。
首先我们要计算目标蛋白质链(也就是包含有缺失值的链)与其他链之间的欧式距离,然后在所有计算出来的距离中找到距离目标蛋白质链距离最小的K个最近邻的蛋白质链,然后对选择出的K个最近邻蛋白质链赋予相应的权值,其相应位置(即目标链的缺失值位置)的加权平均值即为目标蛋白质缺失值的估计值。
子宫内膜浆液性腺癌组织HER-2的表达及其临床意义研究

子宫内膜浆液性腺癌组织HER-2的表达及其临床意义研究章杰捷;吕卫国【摘要】目的探讨子宫内膜浆液性腺癌组织人表皮生长因子受体2(HER-2)的表达及其与临床病理特征和预后的关系.方法选取行手术治疗的子宫内膜浆液性腺癌患者51例,采用免疫组织化学染色法检测手术切除的癌组织HER-2表达情况.比较癌组织HER-2阳性表达患者与阴性表达患者临床病理特征与预后.结果子宫内膜浆液性腺癌组织HER-2阳性表达患者1 1例,占21.57%.与HER-2阴性表达患者相比,HER-2阳性表达患者年龄较大,混合型病理组织发生率较高(均P<0.05).HER-2阳性表达患者5年生存率明显低于阴性表达患者(18.43% vs 61.98%,P<0.05).结论子宫内膜浆液性腺癌组织HER-2阳性表达的患者年龄较大,且预后较差.【期刊名称】《浙江医学》【年(卷),期】2018(040)019【总页数】4页(P2119-2121,2125)【关键词】子宫内膜浆液性腺癌;人表皮生长因子受体2;预后【作者】章杰捷;吕卫国【作者单位】310006杭州,浙江大学医学院附属妇产科医院;浙江大学;浙江省肿瘤医院妇瘤科;310006杭州,浙江大学医学院附属妇产科医院【正文语种】中文子宫内膜浆液性腺癌是一种少见的子宫内膜癌组织学亚型,多发生于绝经后妇女,早期即可发生局部浸润与远处转移,其恶性程度高,患者预后差[1]。
人表皮生长因子受体2(HER-2)是一种跨膜酪氨酸激酶受体,可介导细胞信号传递,其过度表达与肿瘤发生、转移、耐药性及预后不良有关[2-4]。
研究发现,西方女性子宫内膜浆液性腺癌组织中存在HER-2过表达情况,并指出HER-2特异性重组人源化单克隆抗体-曲妥珠单抗治疗可能是过表达HER-2的子宫内膜浆液性腺癌患者可选择的治疗新策略[5-6]。
目前关于子宫内膜浆液性腺癌组织HER-2表达情况国内报道少见。
本研究采用免疫组织化学染色法检测子宫内膜浆液性腺癌组织HER-2的表达情况,并分析其与患者临床病理特征和预后的关系,以期为寻找子宫内膜浆液性腺癌治疗新靶点提供参考,现报道如下。
原发性皮肤弥漫性大B细胞淋巴瘤(腿型)2例报道伴文献复习

原发性皮肤弥漫性大B细胞淋巴瘤(腿型)2例报道伴文献复习戴向农;叶兴东;邹新青;田歆;林日华;韩建德【摘要】目的:通过探讨原发性皮肤弥漫性大B细胞淋巴瘤临床表现和病理特点,提高对该病的认识,实现早诊早治.方法:对2例疑似原发性弥漫性大B淋巴细胞瘤(腿型)患者进行临床表现分析及组织病理检查,通过检测细胞表面抗原标记确诊,采用利妥昔单抗联合CHOP方案化疗,21天为1个疗程,连续半年结束疗程继续随访.结果:弥漫性大B淋巴细胞瘤进展迅速,可破溃,组织病理检查表现为真皮单核细胞浸润,细胞异型明显,免疫组化表现为B细胞表型,CD20(+),CD79a(+),BCL-2(+),CD10(-),BCL-6(-),采用利妥昔单抗联合CHOP方案治疗,随访2年疗效肯定.结论:利妥昔单抗联合CHOP方案化疗连续6个疗程治疗原发性弥漫性大B细胞淋巴瘤,效果肯定.【期刊名称】《皮肤性病诊疗学杂志》【年(卷),期】2017(024)006【总页数】6页(P389-394)【关键词】B淋巴细胞;淋巴瘤;原发性【作者】戴向农;叶兴东;邹新青;田歆;林日华;韩建德【作者单位】广州市皮肤病防治所皮肤科,广东广州 510095;广州市皮肤病防治所皮肤科,广东广州 510095;广州医科大学肿瘤医院肿瘤内科,广东广州510095;广州市皮肤病防治所皮肤科,广东广州 510095;广州市皮肤病防治所皮肤科,广东广州 510095;中山大学附属第一医院皮肤科,广东广州510080【正文语种】中文【中图分类】R739.5皮肤淋巴瘤是指以皮肤损害为初发或突出表现的淋巴瘤,包括原发于皮肤者,或原发于淋巴结及其他器官而以后发生于皮肤者。
原发于皮肤者约占结外淋巴瘤的第三位[1]。
弥漫性大B细胞淋巴瘤(diffuse large B cell lymphoma,DLBCL)是一类由大B淋巴样细胞呈弥漫性生长构成的B细胞恶性肿瘤,是非霍奇金淋巴瘤(non-Hodgkin lymphoma,NHL)中最常见的临床类型[2],原发性皮肤弥漫性大B细胞淋巴瘤(腿型)(primary cutaneous diffuse large B-cell lymphoma, leg type, PCLBCL-LT)是原发性皮肤淋巴瘤少见类型,1996年Vermeer等[3]首次报道,近年陆续有报道[4]。
单细胞转录组鉴定炎症细胞因子

单细胞转录组鉴定炎症细胞因子英文回答:Single-cell transcriptomics has revolutionized our understanding of cellular heterogeneity and has provided valuable insights into various biological processes, including inflammation. In order to identify inflammatory cytokines at the single-cell level, a combination of experimental and computational approaches can be employed.Experimental approaches involve isolating and sequencing the transcriptomes of individual cells. This can be done using methods such as single-cell RNA sequencing (scRNA-seq), which allows for the measurement of gene expression in individual cells. By profiling the transcriptomes of cells before and after exposure to an inflammatory stimulus, differentially expressed genes can be identified. These genes are likely to be involved in the production of inflammatory cytokines.Once the differentially expressed genes are identified, computational methods can be used to further analyze the data and identify the specific inflammatory cytokines produced by different cell types. This can involve clustering analysis to group cells with similar gene expression patterns, as well as gene set enrichment analysis to identify enriched pathways or functions. By comparing the gene expression profiles of different cell clusters, it is possible to infer the cytokines produced by each cluster.For example, let's say we are interested in identifying the inflammatory cytokines produced by macrophages in response to lipopolysaccharide (LPS) stimulation. Weisolate and sequence the transcriptomes of individual macrophages before and after LPS treatment. We identify a set of differentially expressed genes that are upregulated in response to LPS. Using computational methods, we cluster the macrophages based on their gene expression profiles and perform gene set enrichment analysis. We find that acluster of macrophages highly expresses genes associated with the production of pro-inflammatory cytokines such astumor necrosis factor alpha (TNF-α) and interleukin-1 beta (IL-1β). This suggests that t hese macrophages are likelyto be responsible for the production of these cytokines in response to LPS stimulation.中文回答:单细胞转录组学已经彻底改变了我们对细胞异质性的理解,并为各种生物学过程提供了宝贵的见解,包括炎症反应。
免疫学分型在判定弥漫性大B细胞淋巴瘤预后中的临床意义

免疫学分型在判定弥漫性大B细胞淋巴瘤预后中的临床意义虞海荣;孙振柱【摘要】目的:探讨免疫学分型生发中心B细胞(GCB)亚型和非生发中心B细胞(NGCB)亚型在弥漫性大B细胞淋巴瘤(DLBCL)预后判定中的临床意义.方法:61例DLBCL患者中GCB亚型18例,NGCB亚型43例,分析不同临床特征[年龄、性别、民族、临床分期和国际预后指数(IPI)评分]患者中GCB、NGCB亚型的分布情况.结果:Ⅰ+Ⅱ期、Ⅲ+Ⅳ期患者GCB、NGCB亚型分别为77.8%、41.9%;22.2%、58.1%,两者差异有统计学学意义(P<0.05);IPI评分0~2分、3~5分,患者GCB、NGCB亚型分别为83.3%、41.9;16.7%、58.1%,两者差异有统计学意义(P<0.05);汉族、少数民族患者NGCB和GCB亚型分别占72.1%、38.9%;27.9%、61.1%,差异有统计学意义(P<0.05).结论:DLBCL中的两种免疫学亚型GCB和NGCB可能与患者病情进展、恶性程度有关,可作为判断预后的一种模式.【期刊名称】《新疆医科大学学报》【年(卷),期】2008(031)005【总页数】3页(P559-560,563)【关键词】弥漫性大B细胞淋巴瘤;免疫学亚型;临床特征;预后【作者】虞海荣;孙振柱【作者单位】新疆医科大学,新疆,乌鲁木齐,830000;新疆维吾尔自治区人民医院病理科,新疆,乌鲁木齐,830000【正文语种】中文【中图分类】R392;R733弥漫性大B细胞淋巴瘤( diffuse large B-cell lymphoma, DLBCL)是恶性淋巴瘤中发病最多的类型,占成人非霍奇金淋巴瘤(non-Hodgkin′s lymphoma,NHL)的30%~40%[1]。
目前临床上用国际预后指数 (international prognostic index,IPI)评分对患者的预后进行评估。
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Genetic regulators of myelopoiesis and leukemic signaling identified by gene profiling and linear modelingAnna L.Brown,*,†,‡,1Christopher R.Wilkinson,*,†,‡,§,1Scott R.Waterman,¶Chung H.Kok,*,†,‡Diana G.Salerno,*,†,‡Sonya M.Diakiw,*,†,‡Brenton Reynolds,*,†,‡Hamish S.Scott,ԽԽAnna Tsykin,§,¶Gary F.Glonek,§Gregory J.Goodall,¶,**Patty J.Solomon,§Thomas J.Gonda,††and Richard J.D’Andrea*,†,‡,2*Haematology and Oncology Program,Child Health Research Institute,North Adelaide,South Australia;†TheQueen Elizabeth Hospital,Woodville,South Australia;Departments of‡Paediatrics and**Medicine and§School ofMathematical Sciences,University of Adelaide,South Australia;¶The Division of Human Immunology and HansonInstitute,Institute of Medical and Veterinary Sciences,Adelaide,South Australia;ԽԽThe Genetics and Bioinformatics Division,The Walter and Eliza Hall Institute of Medical Research,Melbourne,Victoria,Australia;and††CancerBiology Program,Centre for Immunology and Cancer Research,Princess Alexandra Hospital,Woolloongabba,Queensland,AustraliaAbstract:Mechanisms controlling the balance be-tween proliferation and self-renewal versus growth suppression and differentiation during normal and leukemic myelopoiesis are not understood.We have used the bi-potent FDB1myeloid cell line model,which is responsive to myelopoietic cyto-kines and activated mutants of the granulocyte macrophage-colony stimulating factor(GM-CSF) receptor,having differential signaling and leuke-mogenic activity.This model is suited to large-scale gene-profiling,and we have used a factorial time-course design to generate a substantial and power-ful data set.Linear modeling was used to identify gene-expression changes associated with continued proliferation,differentiation,or leukemic receptor signaling.We focused on the changing transcrip-tion factor profile,defined a set of novel genes with potential to regulate myeloid growth and differen-tiation,and demonstrated that the FDB1cell line model is responsive to forced expression of on-cogenes identified in this study.We also identi-fied gene-expression changes associated specifi-cally with the leukemic GM-CSF receptor mutant, V449E.Signaling from this receptor mutant down-regulates CCAAT/enhancer-binding protein␣(C/EBP␣)target genes and generates changes characteristic of a specific acute myeloid leukemia signature,defined previously by gene-expression profiling and associated with C/EBP␣mutations.J. Leukoc.Biol.80:433–447;2006.Key Words:myeloid⅐transcription factor⅐myeloid leukemia ⅐microarray⅐gene expressionINTRODUCTIONA detailed understanding of the molecular regulation of my-elopoiesis is critical for developing new approaches to hema-tological therapy and for diagnosis and treatment of myeloid leukemia.A number of hematopoietic growth factors(HGFs), or cytokines,play a key role in regulating the myeloid lineage. Binding of the HGF ligand to their receptors results in activa-tion of intracellular kinase activity and induction of multiple signaling pathways.This,in turn,mediates changes in cell behavior,ultimately through changes in gene expression asso-ciated with proliferation,survival,self-renewal,and differen-tiation.This response is mediated in part by modulation of the action of a number of lineage-specific transcription factors (TFs),which act by regulating key target genes such as cell cycle regulators,HGF receptors,and mature cell proteins that define particular cell types or lineages[1,2].In addition,these TFs often autoregulate their own promoters and are able to inhibit alternative genetic programs,thus specifying lineage commitment[3–5].In the granulocyte-macrophage(GM)lin-eage,key TFs are the CCAAT/enhancer-binding protein(C/ EBP)family and the ets family member PU.1(for a recent review,see Rosmarin et al.[6]),the ratios of which are critical for cell fate[7].The nature of the links between myeloid HGFs and the action of TFs involved in the cellular response is still largely unclear.To address this important gap in our under-standing of myeloid cell responses,we have been examining how intracellular signals initiated by the myeloid HGFs,GM-colony stimulating factor(CSF),and interleukin(IL)-3impact on transcriptional programs.Given the pivotal roles of HGF signaling in regulating he-matopoiesis,it is not surprising that aberrant HGF receptor activation or activation of pathways downstream of HGF recep-tors is associated with leukemia.A key example of this is activation of fms-related tyrosine kinase3(FLT3),which rep-resents the most commonly mutated gene in acute myeloid 1These authors contributed equally to this work.2Correspondence:Child Health Research Institute,7th Floor,Clarence Rieger Building,72King William Road,North Adelaide,South Australia 5006,Australia.E-mail:Richard.dandrea@.auReceived February23,2006;revised March20,2006;accepted March23, 2006;doi:10.1189/jlb.0206112.0741-5400/06/0080-433©Society for Leukocyte Biology Journal of Leukocyte Biology Volume80,August2006433leukemia(AML)and is constitutively activated by acquired mutation(most commonly,internal tandem duplications)in 30–35%of AML cases[8,9].Aberrant HGF signaling in AML cells can also result from constitutive activation of other re-ceptors[10–12]or signaling molecules[13–15].Autocrine production of GM-CSF and IL-3also occur occasionally in AML[16]and chronic myeloid leukemia[17]and also result in constitutive activation of proliferation and survival pathways. The current model for pathogenesis of AML involves cooper-ation between these mutations and others,which leads to a block in differentiation or acquisition of self-renewal.This is associated with disruption of the normal transcriptional pro-gram,sometimes as a result of lesions involving key myeloid TFs such as C/EBP␣and PU.1[1]but commonly through the interference of translocation-derived fusion proteins[18]. There are overlaps between the effects of these two cooperating classes of mutation,as for example,FLT3activation appears to contribute to a differentiation block in some contexts[19]. With the advent of new,gene-profiling technologies,it has become possible to investigate the molecular basis of myeloid leukemias using approaches that measure global gene-expres-sion changes.Over recent years,there has been a large mass of data generated with respect to the gene-expression profiles of AML patient samples[20–23],sets of genes downstream of leukemogenic TFs[24,25]and associated with FLT3muta-tions[19,26–28].Such profiling needs to be considered to-gether with the gene-expression patterns available for myeloid cell line models undergoing directed differentiation[29–32] and granulocytic populations at different stages[33].In many of these analyses,gene-expression changes cannot generally be associated,a priori,with a specific cellular process(e.g., mitogenesis,promoting,or blocking differentiation,survival, self-renewal),as in these systems,many processes are occur-ring simultaneously.Dissection of gene-expression changes associated with each cellular outcome requires differential activation of these processes in parallel cell systems,such that gene-expression profiles can be monitored simultaneously. With such a system,a linear modeling approach permits iden-tification of different classes of genes based on such a complex set of conditions.With this in mind,we turned to a bipotential cell line model of myeloid differentiation,which displays dif-ferential responses to GM-CSF,IL-3,and activated GM-CSF receptor mutants.The FDB1cell line is strictly growth factor-dependent for survival;however,cells proliferate continuously in the presence of IL-3with only a minimal amount of spon-taneous differentiation to neutrophils,monocytes,and megakaryocytes.In the presence of GM-CSF,FDB1cells dif-ferentiate synchronously along the neutrophil and monocyte lineages with complete differentiation after5–7days[34].This ability to uncouple mitogenesis and self-renewal from differ-entiation while still using physiological stimuli allows a dis-section of these processes,not readily achieved in primary cells,which undergo simultaneous proliferation and differen-tiation and eventual growth arrest and cell death.To increase the power of this study,we included two activated mutants of the GM-CSF receptor,which have differential leukemogenic activity.These two mutants,FI⌬and V449E,are derived from the common signaling subunit(hc)for GM-CSF,IL-3,and IL-5(reviewed in Gonda and D’Andrea[35]and D’Andrea and Gonda[36])and represent two distinct classes of activated receptor[extracellular(EC);transmembrane(TM).The two mutants display overlapping,biochemical responses compared with the GM-CSF and IL-3receptor complexes[37]and most likely,represent alternative receptor configurations[35].In vivo,V449E induces a myeloid leukemia consistent with its ability to support the generation of immature myeloid cell lines in vitro[38],and the EC mutant FI⌬induces cytokine-inde-pendent formation of CFU-GM[colony-forming units-GM]and erythroid progenitor colonies and leads to a myeloproliferative disease in murine models[38,39].It is important that the FDB1cell line also responds differentially to these activated GM-CSF receptor mutants.V449E induces factor-independent proliferation of FDB1cells and is able to block GM-CSF-induced differentiation,properties that mimic the ability of this mutant to induce AML in vivo.FI⌬induces factor-independent GM differentiation,reflective of the signals that give rise to myeloproliferative disorder in vivo[34,40].Thus,FDB1pro-vides a manipulable model with which to study downstream signaling and transcriptional responses from cytokines and activated receptors.Here,we have used this model,time-course gene-expression profiling,and linear modeling to dis-sect the molecular mechanisms underlying the differential activities associated with the myeloid growth factors GM-CSF and IL-3and the activated mutants of the GM-CSF receptor. With a view to understanding the molecular control of myeloid differentiation,we focused our downstream and clustering analysis on identification of candidate regulatory genes encod-ing TFs and TF-associated products.In addition,we have used comparative analysis between our data and other studies fo-cused on C/EBP␣and AML to examine further the mechanism of leukemic receptor signaling.Here,we provide evidence for a mechanism of leukemic induction by activated growth factor receptor mutants,which may involve modulation of C/EBP␣activity.MATERIALS AND METHODSCytokines and antibodiesRecombinant murine(m)IL-3and GM-CSF were produced from baculovirus vectors supplied by Dr.Andrew Hapel(John Curtin School of Medical Re-search,Canberra,Australia).Culture and analysis of FDB1cellsFDB1cells were maintained as described previously[34].Infected pools were maintained as described plus1g/mL Puromycin(Sigma Chemical Co.,St. Louis,MO).Receptor expression(FI⌬or V449E)was confirmed by staining with a murine anti-FLAG TM antibody(Sigma Chemical Co.)followed by an anti-mousefluorescein isothiocyanate-conjugated antibody(Silenus,Chemicon International,Temecula,CA).Cells were analyzed byflow cytometry using an Epics Elite ESP(Coulter Electronics,UK).If necessary,cells were sorted for expression as described previously[41].For the time courses,cells were washed three times in Iscove’s modified Dulbecco’s medium and cultured in 500BM U/mL mIL-3or mGM-CSF or without growth factor{1BM unit is the amount that gives50%maximal colony formation(CFU-GM)using bone marrow cells;see ref.[42]}.To assess differentiation,cells were centrifuged onto slides and stained with May-Gru¨nwald-Giemsa,and the proportion of differentiated cells was determined microscopically.To assess cell viability, the percentage of cells excluding trypan blue was determined using a hemo-cytometer.434Journal of Leukocyte Biology Volume80,August2006Experimental designThe experiment is arranged as a factorial design studying cell lines and time. For time-course information,each cell population was sampled at six time-points(0,6,12,24,48,and72h),and the time zero(T0)point was used as a reference to obtain relative expression levels following IL-3withdrawal.We also included the parental FDB1cell line maintained in IL-3to establish any baseline differences at T0as a result of expression of the activated receptors. Matched time comparisons were also performed at all six time-points between the two conditions supporting differentiation(GM-CSF and FI⌬)and between the two cell populations expressing activated receptor mutants(FI⌬vs. V449E).Two biological replicate samples were used for each cell population, and a dye-swap replicate was performed for each comparison. Hybridization and data analysisTotal cellular RNA was harvested with Trizol(Invitrogen,Carlsbad,CA)and further purified with the RNeasy RNA purification kit(Qiagen,Valencia,CA). Aliquots of RNA were kept to perform quantitative reverse transcriptase-polymerase chain reaction(QRT-PCR)analysis.cDNA was generated using50g total RNA as a template and primed with PolyT(V)N(4.0g)and random hexamers(1.0g,Amersham,UK).cDNA was labeled with Cy5or Cy3dyes using the Cy-Scribe post-labeling kit(Amersham)as per the instructions. Labeled cDNA was hybridized to microarray slides printed with the CompuGen Mouse OligoLibrary(v2.0,21,99765-mers comprising21,587unique genes) by the Adelaide Microarray Facility(Australia).Slides were scanned using a GenePix3000B scanner(Axon Instruments,Sunnydale,CA),and the Spot package(CSIRO,Australia)was used to identify spots and estimate fore-and background intensities(using a morphological opening background estimator) [43,44].Data analysis was performed in R()using the Limma package of Bioconductor[45,46]and in-house scripts.Arrays were normalized using intensity-dependent spatial normalization and scale normal-ization[47].Spatial loess was also applied to a subset of arrays[48].Linear modeling and F-test-based classifications were performed with the Limma package of bioconductor[45].We estimated,effects for baseline(T0)differ-ences between cell lines change over time in FI⌬(0,72h)and sample by time-interaction parameters between FI⌬and V449E and between FI⌬and GM-CSF.To examine the distribution of differentially expressed genes for a given comparison of interest,we constructed a volcano plot,in which we plotted log2(fold change)on the x-axis and the–log10[false discovery rate (FDR)-adjusted P value]on the y-axis.This generates a volcano-like shape,in which genes at low fold changes are typically not differentially expressed(P values close to1;–log(p)approaching zero),and those with strong evidence for differential expression typically have high fold-change values.Gene ontology (GO)over-representation analysis was performed using GO-STAT using the CompuGen Library as the comparison set and applying a FDR P value adjustment[49].Promoter analysis was performed using the CUREOS data-base(.au)using Transfac matrix M00770(V$CEBP_Q3, www.biobase.de)and requiring mouse and human homology.A2test was used to test for over-representation of consensus-binding sites.Additional information may be found under Gene Expression Omnibus(GEO)Accession GSE3333.We have followed the guidelines set out by the Microarray Gene Expression Data Society(/miame).Clustering of TFsGO terms were obtained via the SOURCE website(, UniGene build139)or via direct query of the National Center for Biotechnol-ogy Information gene database.To increase sensitivity further to potential TFs, we used homologene to extracted GO terms for human homologs.We selected all genes,which were children of the terms transcription(GO:0006350), nucleoplasm(GO:0005654),DNA binding(GO:003677),or transcription reg-ulator activity(GO:0030258)or contained the terms“transcription,”“histone,”or“chromatin”in their GenBank Description.A total of2338genes was selected as transcription factor-associated.This was reduced down to340after filtering out genes with nonsignificant F-test values(1ϫ10Ϫ5).Clustering was performed using the Diana algorithm(R cluster package).We evaluated the distance between two profiles using a measure based on that of Bar-Joseph[50] for comparing two time profiles.Briefly,for a gene i,a smoothed spline curve C wasfitted to each of thefive time-course and matched time data sets.The distance between two genes(i and j)for time course p was calculated as d ijpϭ͐t1t2[Cip(t)ϪC jp(t)]2dt/(t2Ϫt1)ϭ͐t1t2[Cijp]2dt/(t2Ϫt1),and the total distance was then calculated as D ijϭͱ¥pϭ1..5d ijpϩ(M V499EϪIL32.The dendrogram was then cut at a height of1.25to define14clusters.Full annotation information of genes in each cluster is listed in Supplementary Table1.QRT-PCRAliquots of RNA prepared for the microarray analysis were subjected to real-time RT-PCR analysis.For this,RNA was treated with DNase(Ambion, Austin,TX),reverse-transcribed with Oligo-dT(Ambion)using Omniscript RT (Qiagen).The sequences of the oligonucleotides used for PCR are listed in Supplementary Table2.Gene-specific PCR reactions were performed for38 cycles using Amplitaq Gold(Perkin Elmer,Wellesley,MA)and recommended conditions.SYBR green(10ϫ;Molecular Probes,Eugene,OR)was added to afinal concentration of0.6ϫper reaction,which was performed on the Rotor-Gene3000and related software used for data collection and to deter-mine mean expression values relative to Cyclophilin A(Corbett Research, Version5.0).Amplification products were analyzed by melt curve and resolved on2%agarose to confirm specificity.Analysis was performed using a mixed-effects linear model to estimate T0differences between each cell line and mean changes within cell lines over time,treating PCR run as a blocking variable. Retroviral transduction and functional analysis in the FDB1cell lineFor functional analysis,the full-length c-Myb cDNA was cloned into the murine stem cell virus(MSCV)-internal ribosome entry site(IRES)-green fluorescence protein(GFP)retroviral vector and FDB1cells infected by cocultivation as described previously[40].Following infection with virus-producing cells,GFPϩFDB1cells were isolated byflow cytometry and expanded in mIL-3.For testing,cells were withdrawn from IL-3and monitored for morphological differentiation in the presence and absence of GM-CSF for 5days,as described previously[40].Changes in cell morphology were re-corded following cytocentrifugation of cells onto a glass slide and staining with May-Gru¨nwald-Giemsa.Association of the V449E gene set with leukemia subsets identified by gene profilingWe downloaded the(MAS5)normalized data used by Valk et al.[51]from GEO (GSE1159-21979).The normalized data were loaded into R for analysis with the Limma package,and the patients were divided into the16clusters(groups) as defined in ref.[51].For each cluster,we compared expression in patients against normal controls,and for each gene obtained,FDR adjusted P value. We then mapped the V449E-associated gene set(see Table4)to the probes on the HG-U133A GeneChip.After cross-species mapping,the V449E-associated data set reduced from44probes to30.Then,for each of the16clusters identified in this study,we looked for association between our V449E gene set and genes differentially expressed in this cluster.We ranked all genes on the array on the basis of FDR-adjusted P values and then examined the distribu-tion of ranks of the30Affymetrix probes homologous to our V449E gene set. Significance was assessed using a Wilcoxon rank sum test as implemented in R.RESULTSA model system of myeloid cell growthand differentiationWe have previously outlined the use of retroviral infection to generate FDB1cell populations expressing the activated GM-CSF receptor mutants FI⌬and V449E[40].A similar level of expression of the hßc mutant in each population was confirmed by staining for the FLAG epitope fused to the N terminus of the mutantsubunit(Fig.1A).For each condition,changes in morphology,growth,and viability were quantitated(see Fig.1, B and C).The FDB1cells behaved as described previously[34,Brown et al.Regulators of myeloid differentiation and leukemia43540],and complete differentiation to granulocytes and macro-phages (approximately equal ratio)occurred over 5days in GM-CSF and in response to the FI ⌬signal.The switch from IL-3to V449E signaling did not result in any discernible change to morphology,growth,or viability of the FDB1cells.Experimental design and data generationFor dissection of signaling pathways,we performed a time-course study using FDB1cells switched from a continuous growth signal (IL-3)to signaling via the leukemic receptor,V449E,or to conditions permitting synchronous monocytic and granulocytic differentiation (GM-CSF or FI ⌬).This allowed a parallel time-course comparison to reveal gene-expression changes associated with the switch to alternative differentia-tion-inducing signals (GM-CSF or FI ⌬)or signaling via the leukemia-inducing V449E mutant.In addition,we performed comparisons between cell populations at matched time-points to reveal differences in gene expression between cells under-going differentiation or proliferation/self-renewal.The overall experimental design,incorporating matched-time andtime-Fig.1.FDB1experimental system.(A)Cell surface expression of the hßc-activated mutants on FDB1cells as determined by flow cytometry.Transduced cells (solid peaks)were stained with an anti-FLAG TM monoclonal antibody and compared with identically stained,untransduced cells (open peaks).(B)Photomicro-graphs of cells induced to self-renew or differentiate over 5days in the presence of the indicated growth factors or through the activity of the hßc-activated mutants.Original magnification,400ϫ.(C)Differential counts performed with the cell populations used for RNA preparation.Black,Blast cells;light gray,granulocytes;dark gray,monocytes;white,intermediately differentiated cells.436Journal of Leukocyte Biology Volume 80,August 2006course comparisons (along with dye swaps and biological rep-licates),is shown schematically in Figure 2and was based on admissible design criteria [52].A major strength of this design is that it allows estimation of genes with differential expression in the initial cell populations (i.e.,T 0differ-ences)and time-related changes within a cell population (main effects).It is important that this design also permits identification of genes with significantly different expression profiles between cell populations over time (interaction ef-fects).Linear modeling to identify differentially expressed genesThe linear modeling approach is particularly well-suited to factorial experiments comparing one parameter (cell popula-tion)against another (time)and is more powerful than the alternative approach of analyzing the data set as a series of smaller experiments with the same total number of slides [45].We used a linear modeling approach that allowed us to com-bine arrays from different cell populations and use an F-test-based approach to select genes with complex expression pro-files of potential biological interest [45,46].This allowed us to identify common gene-expression changes between FDB1cell populations undergoing one or more fates in common as shown in Figure 2.Thus,we classed differentiation-associated genes as those that increased in expression over 72h in the FI ⌬and/or the GM-CSF cell population and for which this change was significantly greater than the change (if any)in the V449E cell population.The criteria used to select proliferation and self-renewal-associated genes were identical,except that we required decreases in gene expression rather than ing an F-test with a FDR-adjusted P value cut-off of 1ϫ10Ϫ5and a minimum change of 1.4-fold,we identified 205differentiation-associated genes and 175proliferation or self-renewal-associated genes.These gene sets are represented in volcano plots in Figure 3,which provide a visual indication of the relative evidence for differential expression of a given gene.Figure 3A shows a clear increase in the number of genes displaying differential expression over time,based on FDR-adjusted P value,in the parental FDB1population shifted to GM-CSF and the FI ⌬population.Although few significant changes are observed at the 6-h time-point,clear groups of differentiation-associated (red)and proliferation-associated (green)genes are identified by this analysis over the 72-h time-course.To examine V449E signaling as a model of leu-kemic-activated cytokine receptor signaling,we compared the gene-expression profiles of the parental FDB1cells and the FI ⌬population (in IL-3)with the V449E cell population under the same ing an F-test with a FDR-adjusted P value cut-off of 1ϫ10Ϫ5and a minimum change of 1.4-fold,we identified 44genes specifically down-regulated by the V449E mutant (shown in purple in Fig.3B).It is interesting that this gene set is strongly differentiation-associated,as indicated by the increased expression of these genes over time in the parental cells responding to GM-CSF and in the FI ⌬population (Fig.3A).This is most likely reflective of the ability of V449E to block differentiation of myeloid cells,a property that is crucial for induction of AML in vivo.After examining profiles of genes with significant gene-expression changes under various conditions,we selected 10genes of interest and performed QRT-PCR to provide valida-tion for the microarray results (Fig.4).For each gene,we then made eight comparisons and compared significance level and direction between microarray and QRT-PCR-based estimates.For the 80comparisons made,we observed 72.5%concor-dance on significance level and direction.In general,microar-ray-based estimates of fold changes were smaller than those from QRT-PCR.Validation of the model system—measuring gene-expression changes and function in the FDB1systemAs discussed above,we identified differentiation-associated genes on the basis of elevated expression in the FI ⌬and/or the GM-CSF population and stable expression in the V449E pop-ulation.Table 1lists all 205differentiation-associated genes together with their fold-changes and FDR P values over 72h in the FI ⌬cell population (changes in GM-CSF were similar and are supplied along with full gene annotation information in Supplementary Table 3).Example gene-expression profiles are shown in Figure 5A .GO analysis of this gene set indicated significant over-representation of terms such as defense re-sponse (GO:0006952,P ϭ2ϫ10Ϫ8),response to wounding (GO:0009611,P ϭ5ϫ10Ϫ6),and chemotaxis (GO:0006935,P ϭ5ϫ10Ϫ5),consistent with up-regulation of genes involved in mature granulocytes and macrophages.Many of the genes identified in this analysis are known to be associated with myeloid differentiation (Table 2),thus providing an important validation of this cell-line model of myeloid differentiation and confirming the hypothesis that genes displaying concordant regulation in response to the FI ⌬mutant and GM-CSF will be of most relevance to GM differentiation in vivo.We also examined genes for which higher levels of expres-sion are associated with proliferation and self-renewal.We identified these on the basis of their maintained expression at 72h in the V449E-expressing FDB1population andtheirFig.2.Experimental design.Parental FDB1cells grown in IL-3were washed and cultured for up to 3days in the presence of GM-CSF.In parallel,FDB1cell populations expressing FI ⌬or V449E were washed and cultured in the absence of growth factor.RNA was harvested from these populations at 0,6,12,24,48,and parisons performed are represented by arrows (double-headed arrow indicates the use of dye-swap comparisons).All com-parisons presented were performed four times (i.e.,two replicate cultures,two dye swaps,total slides 112).Differential cellular outcomes associated with each condition are indicated on the right.P,Proliferation;S,survival;D,differentiation;L,leukemic signaling.Brown et al.Regulators of myeloid differentiation and leukemia437。